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Nerve and Vascular Injuries in Sports Medicine pp 183–198Cite as

Vascular Injuries in the Lower Limb of Athletes

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Athletes are susceptible to a wide variety of traumatic and nontraumatic vascular injuries to the lower limb. The incidence of vascular injuries in the athletic population is rising, particularly in sports characterized by repetitive motion or high-speed collisions.

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References

  1. Darling RC, Buckley CJ, Abbott WM, et al. Intermittent claudication in young athletes: popliteal artery entrapment syndrome. J Trauma 1974;14:543–52.

    Article  PubMed  CAS  Google Scholar 

  2. Rich NM, Mattox KL, Hirshberg A. Vascular Trauma. 2nd ed. Philadelphia: Elsevier Saunders; 2004.

    Google Scholar 

  3. Sriussadaporn S. Arterial injuries of the lower extremity from blunt trauma. J Med Assoc Thai 1997;80:121–9.

    PubMed  CAS  Google Scholar 

  4. Vasdekis SN, Kakisis JD, Lazaris AM, et al. Common femoral artery injury secondary to tennis ball strike. J Vasc Surg 2006;44:1350–2.

    Article  PubMed  Google Scholar 

  5. Muck PE, Nunez TC, Hruska L, et al. Blunt injury to the external iliac artery: a case report. Am Surg 2002;68(1):11–4.

    PubMed  Google Scholar 

  6. Sarfati MR, Galt SW, Treiman GS, et al. Common femoral artery injury secondary to bicycle handlebar trauma. J Vasc Surg 2002;35:589–91.

    Article  PubMed  Google Scholar 

  7. McDonald EJ, Goodman PC, Winestock DP. The clinical indications for arteriography in trauma to the extremity: a review of 114 cases. Radiology 1975;116:45–7.

    PubMed  Google Scholar 

  8. Rutherford RB. Diagnostic evaluation of extremity vascular injuries. Surg Clin North Am 1998;68:683–91.

    Google Scholar 

  9. Martin LC, McKenny MG, Sosa JL, et al. Management of lower extremity arterial trauma. J Trauma 1994;37:591–8.

    Article  PubMed  CAS  Google Scholar 

  10. Frykberg ER. Popliteal vascular injuries. Surg Clin North Am 2002;82:67–89.

    Article  PubMed  Google Scholar 

  11. Kennedy, TC. Complete dislocation of the knee joint. J Bone Joint Surg Am 1963;45:889.

    PubMed  CAS  Google Scholar 

  12. Varnell RM, Coldwell DM, Sangeorzan BJ, et al. Arterial injury complicating knee disruption. Am Surg 1989;55(12):699–704.

    PubMed  CAS  Google Scholar 

  13. Miller HH, Wech CS. Quantitative studies on the factor in arterial injuries. Am Surg 1949;130:538.

    Google Scholar 

  14. Jones S, Journeaux SF. Pure hyperextension of the knee causing popliteal artery injury. Injury 1996;27(5):355–6.

    Article  PubMed  CAS  Google Scholar 

  15. Kendall RW, Taylor DC, Salvian AJ, et al. The role of arteriography in assessing vascular injuries associated with dislocation of the knee. J Trauma 1993;35:875.

    Article  PubMed  CAS  Google Scholar 

  16. Skudder PA, Gelfand ML, Blumenberg RM, et al. Tibial artery false aneurysm: uncommon result of blunt injury occurring during athletics. Ann Vasc Surg 1999;13:589–91.

    Article  PubMed  CAS  Google Scholar 

  17. Lee AT, Fanton GS, McAdams TR. Acute compartment syndrome of the thigh in a football athlete: a case report and the role of the vacuum-assisted wound closure dressing. J Orthop Trauma 2005;19:748–50.

    Article  PubMed  Google Scholar 

  18. Machold W, Muellner T, Kwasny O. Is the return to high-level athletics possible after fasciotomy for a compartment syndrome of the thigh? A case report. Am J Sports Med 2000;28:407–10.

    PubMed  CAS  Google Scholar 

  19. Burns BJ, Sproule J, Smyth H. Acute compartment syndrome of the anterior thigh following quadriceps strain in a footballer. Br J Sports Med 2004;38:218–20.

    Article  PubMed  CAS  Google Scholar 

  20. Mithofer K, Lhowe DW, Vrahas MS, et al. Clincal spectrum of acute compartment syndrome of the thigh and its relation to associated injuries. Clin Orthop 2004;425:223–9.

    Article  PubMed  Google Scholar 

  21. Zweifach SS, Hargens AR, Evans KL, et al. Skeletal muscle necrosis in pressurized compartments associated with hemorrhagic hypotension. J Trauma 1980;20:941–7.

    Article  PubMed  CAS  Google Scholar 

  22. Hilberg T, Jeschke D, Gabriel HHW. Hereditary thrombophilia in elite athletes. Med Sci Sports Med 2002;34:218–21.

    CAS  Google Scholar 

  23. Roberts WO, Christie DM. Return to training and competition after deep venous calf thrombosis. Med Sci Sports Exerc 1992;24:2–5.

    PubMed  CAS  Google Scholar 

  24. Laroche GP. Steroid anabolic drugs and arterial complications in an athlete: a case history. Angiology 1990;41:964–9.

    Article  PubMed  CAS  Google Scholar 

  25. Echlin PS, Upshur REG, McKeag DB, et al. Traumatic deep vein thrombosis in a soccer player: a case study. Thromb J 2004;2:8.

    Article  PubMed  Google Scholar 

  26. Goodacre S, Sutton A, Sampson F. Meta-analysis: the value of clinical assessment in the diagnosis of deep venous thrombosis. Ann Intern Med 2005;143(2):129–39.

    PubMed  Google Scholar 

  27. Anand SS, Wells PS, Hunt D, et al. Does this patient have deep vein thrombosis? JAMA 1998;279:1094–9.

    Article  PubMed  CAS  Google Scholar 

  28. Hyers TM. Management of venous thrombembolism: past, present, and future. Arch Intern Med 2003;163:759–68.

    Article  PubMed  CAS  Google Scholar 

  29. Bates SM, Ginsberg JS. Treatment of deep-vein thrombosis. N Engl J Med 2004;351:268–77.

    Article  PubMed  CAS  Google Scholar 

  30. Kahn SR, Ginsberg JS. The post-thrombotic syndrome: current knowledge, controversies, and directions for future research. Blood Rev 2002;16:155–65.

    Article  PubMed  Google Scholar 

  31. Thompson TL, Robinson AK, Gilbert C. Deep vein thrombosis of the lower extremity in a football player: a case report. Clin J Sport Med 2006;16:372–4.

    Article  PubMed  Google Scholar 

  32. Karahan M, Isbir S, Baltacyoglu F, et al. False Aneurysm of the common femoral vein in a footballer. Br J Sports Med 2005;39:8.

    Article  Google Scholar 

  33. Abraham P, Saumet JL, Chevalier JM. External iliac endofibrosis in athletes. Sports Med 1997;24:221–6.

    Article  PubMed  CAS  Google Scholar 

  34. Schep G, Bender MHM, Kaandorp D, et al. Flow limitations in the iliac arteries in endurance athletes—current knowledge and directions for the future. Int J Sports Med 1999;20:421–8.

    Article  PubMed  CAS  Google Scholar 

  35. Chevalier JM, Enon B, Walder J, et al. Endofibrosis of the external iliac artery in bicycle racers: an unrecognized pathological state. Ann Vasc Surg 1986;1:297–303.

    PubMed  CAS  Google Scholar 

  36. Kral CA, Han DC, Edwards WD, et al. Obstructive external iliac arteriopathy in avid bicyclists: new and variable histopathologic features in four women. J Vasc Surg 2002;36:565–70.

    Article  PubMed  Google Scholar 

  37. Giannoukas AD, Berczi V, Unnikrishnan A, et al. Endofibrosis of iliac arteries in high-performance athletes: diagnostic approach and minimally invasive endovascular treatment. Cardiovasc Intervent Radiol 2006;29:866–9.

    Article  PubMed  Google Scholar 

  38. Bender MHM, Schep G, de Vries WR, et al. Sports-related flow limitations in the iliac arteries in endurance athletes: aetiology, diagnosis, treatment and future developments. Sports Med 2004;34(7):427–42.

    Article  PubMed  Google Scholar 

  39. Abraham P, Saumet JL, Chevalier JM. External iliac endofibrosis in athletes. Sports Med 1997;24:221–6.

    Article  PubMed  CAS  Google Scholar 

  40. Schep G, Schmikli SL, Bender MHM, et al. Recognising vascular causes of leg complaints in endurance athletes. Part I: Validation of a decision algorithm. Int J Sports Med 2002;23:313–21.

    Article  PubMed  CAS  Google Scholar 

  41. Taylor AJ, George KP. Exercise induced leg pain in young athletes misdiagnosed as pain of musculoskeletal origin. Manual Ther 2001;6(1):48–52.

    Article  CAS  Google Scholar 

  42. Ford SJ, Rehman A, Bradbur AW. External iliac endofibrosis in endurance athletes: a novel case in an endurance runner and a review of the literature. Eur J Vasc Endovasc Surg 2003;26:629–34.

    Article  PubMed  CAS  Google Scholar 

  43. Taylor AJ, George KP. Ankle to brachial pressure index in normal subjects and trained cyclists with exercise-induced leg pain. Med Sci Sports Exerc 2001;33:1862–7.

    Article  PubMed  CAS  Google Scholar 

  44. Abraham P, Leftheriotis G, Bourre Y, et al. Echography of external iliac artery endofibrosis in cyclists. Am J Sports Med 1993;21(6):861–3.

    Article  PubMed  CAS  Google Scholar 

  45. Lomis NNT, Miller FJ, Whiting JH, et al. Exercise-induced external iliac artery intimal fibrosis: confirmation with intravascular ultrasound. J Vasc Interv Radiol 2000;11:51–3.

    Article  PubMed  CAS  Google Scholar 

  46. Ehsan O. Non-traumatic lower limb vascular complications in endurance athletes: review of literature. Eur J Vasc Endovasc Surg 2004;28:1–8.

    Article  PubMed  CAS  Google Scholar 

  47. Mosely JG. Arterial problems in athletes. Br J Surg 2003;90:1461–9.

    Article  Google Scholar 

  48. Goh BKP, Tay KH, Tan SG. Diagnosis and surgical management of popliteal artery entrapment syndrome. ANZ J Surg 2005;75:869–73.

    Article  PubMed  Google Scholar 

  49. Hoffman U. Popliteal artery compression and force of active plantar flexion in young healthy volunteers. J Vasc Surg 1997;26:281–7.

    Article  Google Scholar 

  50. Stager A, Clement D. Popliteal artery entrapment syndrome. Sports Med 1999;28(1):61–70.

    Article  PubMed  CAS  Google Scholar 

  51. Olson SK, Parker DG, Reul GJ. Popliteal artery entrapment: a diagnosis that may be overlooked. Tex Heart Inst J 1983;10:305–10.

    PubMed  CAS  Google Scholar 

  52. Erdoes LS, Devine JJ, Bernhard VM, et al. Popliteal vascular compression in a normal population. J Vasc Surg 1994;20:978–86.

    PubMed  CAS  Google Scholar 

  53. Ohara N, Miyata T, Oshiro H, et al. Surgical treatment for popliteal artery entrapment syndrome. Cardiovasc Surg 2001;9:141–4.

    Article  PubMed  CAS  Google Scholar 

  54. Do DD, Braunschwei M, Baumgartner I, et al. Adventitial cystic disease of the popliteal artery: percutaneous US-guided aspiration. Radiology 1997;203:743–6.

    PubMed  CAS  Google Scholar 

  55. Tsolakis IA, Walvatne CS, Caldwell MD. Cystic adventitial disease of the popliteal artery: diagnosis and treatment. Eur J Vasc Endovasc Surg 1998;15(3):188–94.

    Article  PubMed  CAS  Google Scholar 

  56. Mhuircheartaigh MN, Kavanagh E, O’Donohoe M, et al. Pseudo compartment syndrome of the calf in an athlete secondary to cystic adventitial disease of the popliteal artery. Br J Sports Med 2005;39:e36.

    Article  Google Scholar 

  57. Wilder RP, Sethi S. Overuse injuries: tendinopathies, stress fractures, compartment syndrome and shin splints. Clin Sports Med 2004;23:55–81.

    Article  PubMed  Google Scholar 

  58. Mars M, Hadley GP. Raised intracompartmental pressure and compartment syndromes. Injury 1998;29:403–11.

    Article  PubMed  CAS  Google Scholar 

  59. Verleisdonk EJ. At what tissue pressure, measured immediately after exercise, should the diagnosis of chronic exertional compartment syndrome of the lower leg be made: the exertional compartment syndrome [PhD thesis]. Utrecht, the Netherlands: University Medical Center; 2000:111–27.

    Google Scholar 

  60. Lauder TD, Stuart MJ, Amrami KK, et al. Exertional compartment syndrome and the role of magnetic resonance imaging. Am J Phys Med Rehabil 2002;81:315–9.

    Article  PubMed  Google Scholar 

  61. Van den Brand JG, Nelson T, Verleisdonk EJ, et al. The diagnostic value of intracompartmental pressure measurement, magnetic resonance imagine and near-infrared spectroscopy in chronic exertional compartment syndrome. Am J Sports Med 2005;33:699–704.

    Article  PubMed  Google Scholar 

  62. Schmitt HE, Mihatsch MJ. Thrombosis of the popliteal vein. Cardiovasc Intervent Radiol 1992;15(4):234–9.

    Article  PubMed  CAS  Google Scholar 

  63. Hilberg T, Jeschke D, Gabriel HH. Hereditary thrombophilia in elite athletes. Med Sci Sports Exerc 2002;34(2):218–21.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Resident Physician, Department of Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago/Northwestern Memorial Hospital, Chicago, IL, USA

    Ellen Casey

  2. Rehabilitation Institute of Chicago, Chicago, IL, USA

    Paul H. Lento & Joseph M. Ihm

  3. Department of Physical Medicine and Rehabilitation, Northwestern University Medical School, Chicago, IL, USA

    Paul H. Lento

  4. Department of Surgery, Northwestern Memorial Hospital/Northwestern University, Division of Vascular Surgery, Chicago, IL, USA

    Heron Rodriguez

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  1. Ellen Casey
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  2. Paul H. Lento
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  3. Joseph M. Ihm
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  4. Heron Rodriguez
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    Casey, E., Lento, P.H., Ihm, J.M., Rodriguez, H. (2009). Vascular Injuries in the Lower Limb of Athletes. In: Herring, S., Akuthota, V. (eds) Nerve and Vascular Injuries in Sports Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76600-3_13

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    • DOI: https://doi.org/10.1007/978-0-387-76600-3_13

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